Organization
WADE E YOUNG MD INC
Active
Other names
Tiffin Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
BLAIR YOUNG CLARK DO (PRESIDENT)
(194) 488-8811
Entity
Organization
Contact information
Practice address
60 ASHWOOD DR, TIFFIN, OH 44883-1908
(419) 448-8811
(419) 448-7418
Mailing address
60 ASHWOOD DR, TIFFIN, OH 44883-1908
(419) 448-8811
(419) 448-7418
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4855T1825
OH
207W00000X
Ophthalmology Physician
Primary
35050815
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0218698
—
OH
05
—
0569040
—
OH
05
—
2742787
—
OH
Enumeration date
06/11/2006
Last updated
04/28/2022
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